Early refeeding after cesarean section: assessing the return of gastrointestinal functio
- Conditions
- Cesarean section, unspecifiedE04.520
- Registration Number
- RBR-78gvj3g
- Lead Sponsor
- Faculdade de Medicina da Universidade Federal de Alagoas
- Brief Summary
Background: Gastrointestinal disorders, such as nausea, vomiting, distension, and dry mouth have negative impacts such as pain, difficulties in nutrition, and increased susceptibility to infections. Objective: To evaluate the impact of early refeeding on the return of gastrointestinal function in postpartum women after elective cesarean section. Methods: A prospective clinical trial was conducted from May to October 2022, with patients allocated to either the control group (following the standard refeeding protocol of the obstetrics service) or the intervention group (receiving an industrialized liquid preparation within 1 hour after surgery). Gastrointestinal aspects assessed included the presence of nausea/vomiting, flatus elimination within 24 hours, bowel movement within 48 hours, and sensation of dry mouth. Data analysis was performed using the Chi-square test and binary logistic regression adjusted for age and gestational age, with p-values < 0.05 considered statistically significant. Results: 132 postpartum women were included in the study, with 66 in each group. After logistic regression, early refeeding was found to be protective against nausea/vomiting (OR: 0.039; CI [95%] 0.005–0.302, p = 0.002) and dry mouth sensation (OR: 0.042; CI [95%] 0.009–0.185, p < 0.001), and improved flatus elimination within 24 hours (OR: 12.631; CI [95%] 4.783–33.356, p < 0.001) and bowel movement within 48 hours (OR: 7.733; CI [95%] 3.181–18.791, p < 0.001). Conclusion: Early refeeding promoted the return of gastrointestinal function in postpartum women after cesarean section, leading to improved clinical recovery and can be incorporated into the routine clinical care of obstetric services
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Data analysis completed
- Sex
- Female
- Target Recruitment
- Not specified
Parturients undergoing cesarean section; aged between 18 and 45 years; who were submitted to spinal anesthesia, under aseptic technique, followed by median puncture in the vertebral space between the third and fourth lumbar vertebrae with a 27G Whitacre needle, flowing clear cerebrospinal fluid and intrathecal injection of heavy bupivacaine 12.5mg plus morphine 60mcg
Patients with twin pregnancies; those with comorbidities resulting from pregnancy; patients with any type of perioperative intercurrence
Study & Design
- Study Type
- Intervention
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Expected outcome 1: it is expected to find a reduction in the frequency of complaints of post-cesarean nausea and vomiting after early refeeding through chi-square analysis and logistic regression, after adjustments for age and gestational age (p<0.05);Outcome found 1: a significant reduction (p<0.001, through logistic regression after adjustments for age and gestational age) was observed in the frequency of complaints of post-cesarean nausea and vomiting
- Secondary Outcome Measures
Name Time Method